Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kendall L. Moody, PHD, LCSW

Individual provider Clinical Social Worker · NPI 1790213262

Dr. Kendall L. Moody, PHD, LCSW is a Clinical Social Worker in Bowie, Maryland. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2017
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

2249 Ruby Turn
Bowie, MD 20721-1897
Phone: (757) 647-5695
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904009833 (VA)

Record details

NPI number1790213262
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LCSW
Sole proprietorYes
NPI enumeratedMay 30, 2017
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025

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